A nurse is preparing to administer insulin lispro to a client who has type 1 diabetes mellitus.
Which of the following actions should the nurse plan to take?
Inject insulin lispro 15 min before a meal.
Monitor the client for polyuria after the insulin lispro injection.
Check the expiration date after the insulin lispro specification.
Administer using a syringe with no washing.
The Correct Answer is A
Insulin lispro is a fast-acting insulin that starts to work about 15 minutes after injection, peaks in about 1 hour, and keeps working for 2 to 4 hours1.
Therefore, it should be injected 15 minutes before a meal2.
Choice B is incorrect because polyuria (frequent urination) is a symptom of high blood sugar levels, not a direct result of insulin lispro injection.
Choice C is incorrect because checking the expiration date should be done before administering any medication, not after.
Choice D is incorrect because insulin lispro should be administered using a clean syringe and proper hygiene practices should be followed to prevent infection.
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Related Questions
Correct Answer is D
Explanation
The nurse should instruct the client to cleanse the skin before applying a nitroglycerin transdermal patch 1.
This is because it is important to apply the patch to a clean, dry skin area with little or no hair that is free of scars, cuts, or irritation 1.
Choice A is incorrect because it is not recommended to use an old patch with medication residue.
Instead, always remove a previous patch before applying a new one 1.
Choice B is incorrect because a nitroglycerin patch should not be kept in place for 72 hours before replacing.
Instead, it should be worn for 12 to 14 hours and then removed 2.
Choice C is incorrect because the patch should not be applied to a hairy area of the skin for better adherence.
Instead, it should be applied to an area with little or no hair 1.
Correct Answer is B
Explanation
The nurse should administer 2 tablets.
Since each tablet contains 325 mg of aspirin, to administer a dose of 650 mg, the nurse should give 650 mg / 325 mg/tablet = 2 tablets.
Choice A is incorrect because 1 tablet would only provide a dose of 325 mg.
Choice C is incorrect because 3 tablets would provide a dose of 975 mg.
Choice D is incorrect because 4 tablets would provide a dose of 1300 mg.
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